DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Active Organization

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY is a Federally Qualified Health Center organization located in JACKSONVILLE, Illinois. NPI 1598412447 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · JACKSONVILLE, IL

Registration Details

NPI Number
1598412447
Provider Type
Organization
NPI Issued
Mar 9, 2022 (4.2478690092744 yrs)
Last Updated
Jan 9, 2025

Practice Information

Address
425 E STATE ST., STE 100
JACKSONVILLE, IL, 626502125
Browse IL providers · Browse ZIP 62650
Phone
2174081195
Fax
2174081231
Primary Specialty
Federally Qualified Health Center
261QF0400X

Other Federally Qualified Health Center Organizations in JACKSONVILLE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.